Evaluation and Comparison of the Effects of Time Perspective
Transcription
Evaluation and Comparison of the Effects of Time Perspective
© Journal of the Indian Academy of Applied Psychology 2015, Vol. 41, No.3 (Special Issue), 148-155. Evaluation and Comparison of the Effects of Time Perspective Therapy, Acceptance and Commitment Therapy and Narrative Therapy on Severity of Symptoms of Obsessive-Compulsive Disorder Mehdi Esfahani, Mohammad Bagher Kjbaf and Mohammad Reza Abedi University of Isfahan, Iran Obsessive-compulsive disorder is a relatively common disorder and due to its debilitating nature, many studies have been conducted to reduce its symptoms. The purpose of this study was to evaluate and compare the effects of time perspective therapy, acceptance and commitment therapy, and narrative therapy on severity of symptoms of obsessivecompulsive disorder. The study sample consisted of 60 patients selected by accessibility method from all clients from Isfahan psychological and psychiatric services in 2013, and the Yale-Brown Obsessive-Compulsive Scale was administered on them. Results from multivariate analysis of covariance (MANCOVA) showed that differences between obsessive-compulsive severity symptoms in post-test and follow up stages in study groups were significant (p<0.0001). Also, there were significant differences in mean of obsessive-compulsive symptoms severity between therapy groups with control group, except for time perspective therapy. Keywords: Obsessive-Compulsive Disorder, Time Perspective Therapy, Acceptance and Commitment Therapy, Narrative Therapy. Obsessive-compulsive disorder (OCD) is a relatively common disorder and due to its debilitating nature, it causes serious problems for the patient, and his/her family. Some of its repercussions are loss of self-confidence, disappointment, reduction in educational and professional performance, personal failure in social relationships. According to Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), OCD is classified as a separate class of psychological disorders; while it has been classified under anxiety disorders in the DSM-IV. According to DSM-5, observance of both or each one of obsession and compulsion symptoms is enough to diagnose OCD. Obsession refers to an uncontrollable frequent mental image, thought, unwanted desire that cause uncomfortable condition to the patients. The patient is not able to stop thoughts such as fear of air pollution, harming others or oneself, and expression of natural/sexual immoral desires. OCD is the fourth most common psychological disorder and is also a clinical challenge. In recent years, several medical and psychological treatments have been conducted to treat the disorder (Sadok & Sadok, 2007). Behavioral approach and other effective ways to encounter and prevent OCD responses are the first treatment options that help controlling the symptoms to a great extent. Nevertheless, the notable achievement regarding treatment of the disorder is undeniable, there are still cases that have no or negligible response to the treatment. However, there are patients who cannot approbate encountering methods and don’t execute homework or the tasks (Sookman & Steketee, 2010). Although CBT is successful in treating OCD, many researches have been conducted to find out other methods with more efficiency (Rees & Vankoesveld, 2008). One of these approaches is time perspective therapy, that is rooted in social psychology and it is extending to clinical and psychological fields. It has to do with the way that people connect their behavior with the past, present and future and at the same time mirroring viewpoints, beliefs, and values pertinent to time. It also takes time as a quasi-trait structure constituted of several aspects including past positive, past negative, present fatalist, and present hedonist, and the